Individual
TABITHA BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5 PETROGLYPH CIR STE A, SANTA FE, NM 87506-1001
(575) 644-9521
Mailing address
106 MONTE ALTO RD, SANTA FE, NM 87508-8864
(575) 644-9521
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
56618
NM
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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